高渗高血糖非酮症昏迷(HHNC),为糖尿病一种严重急性合并症,常在感染,应激、利尿、脱水、糖类皮质激素应用时诱发,流行性出血热(EHF)治疗中应用糖类皮质激素,利尿,输注葡萄糖几乎无例外者,因此早期识别HHNC 并进行恰当治疗非常重要。我院自1984年1月～1985年12月收治EHF266例,其中2例并发HHNC。例1,女,45岁,以发热,腰痛4d 于1984年11月12日入院。体检:T39℃,P100次/minR26/min,BP14/8.6kPa,神志清,“三红”明显,腋下见搔抓样出血点,双眼结合膜。咽 Hypertonic hyperglycemic nonketotic coma (HHNC), a severe acute complication of diabetes mellitus, is often associated with infection, stress, diuresis, dehydration, glucocorticoid use, and epidemic hemorrhagic fever (EHF) Glucocorticoid, diuretic, glucose infusion almost no exception, so early identification and proper treatment of HHNC is very important. Our hospital from January 1984 to December 1985 admitted 266 cases of EHF, of which 2 cases complicated by HHNC. Example 1, female, 45 years old, with fever, low back pain 4d on November 12, 1984 admitted. Physical examination: T39 ℃, P100 times /minR26/min, BP14/8.6kPa, conscious mind, “three red” obvious, armpit see scratch-like bleeding, eyes combined with the membrane. pharynx